Efficacy of the Brushless Scrub
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Purpose
The aim of this research is to examine if the brushless scrub is effective in reducing bioburden on the hands of the operating room (OR) personnel both with a prewash of one minute prior to scrub and without a prewash prior to scrub, and to compare the bioburden reduction between both methods.
Hypothesis I: A soap and water prewash used prior to brushless scrub further decreases bioburden than brushless scrub alone.
Hypothesis II: Brushless scrub is effective in reducing the bioburden measured just after the application of the brushless scrub within 20 seconds of application for both groups.
Exploratory Hypothesis: We will also compare the bioburden measured before and at 1.5 minutes after application of the brushless scrub for both groups.
| Condition | Intervention |
|---|---|
|
Focus of Study: Handwashing |
Other: Prewash |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Basic Science |
| Official Title: | Efficacy of the Brushless Scrub |
- Reduction of bioburden [ Time Frame: 1.5 minutes after brushless scrub was applied ] [ Designated as safety issue: No ]The procedure of swabbing the participants will be measured by using the RUHOF ATP Complete Contamination Monitoring System.
| Estimated Enrollment: | 60 |
| Study Start Date: | May 2012 |
| Estimated Study Completion Date: | December 2012 |
| Estimated Primary Completion Date: | October 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: No Prewash
Level 1: participants will be swabbed, then application of brushless scrub, swabbed again
|
|
|
Experimental: Prewash
Level 2: participants will be swabbed, perform a wash with soap and water for 1 minute, dry, apply brushless scrub, swabbed again
|
Other: Prewash
The intervention will be the addition of the prewash utilizing non-antimicrobial soap and water.
|
Detailed Description:
Hand washing by operating room personnel prior to surgical procedures is essential in the prevention of intraoperative infection. The use of the brushless surgical hand hygiene has been used since the CDC stated in 2002 that using a brush and sponge is no longer necessary. Empirical literature supports the reduction of the incidence of bacteria or OR personnel hands with the use of alcohol-based products.
An annotated integrative search of the literature was conducted and conflicting information regarding the use of a prewash prior to the brushless scrub was found. This study can help us utilize the brushless scrub to the fullest capacity and prevent surgical site infections.
The time point at which the outcome measure will be assessed at an individual level will be immediately pre-intervention and also 1.5 minutes after the intervention. For example, within 15 seconds prior to brushless scrub, or prewash, a sample swab will be collected and then another sample swab will be obtained 1.5 minutes later for postintervention measure. The study should take approximately 4 months to complete to get an adequate sample size of individuals for statistical power. The data will be aggregated and presented at a staff in-service within 3 months after data collection and analysis is completed.
Eligibility| Ages Eligible for Study: | 19 Years to 62 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Inclusion will consist of all OR personnel and students who scrub for surgical procedures.
Exclusion Criteria:
- Exclusion will consist of any OR personnel and students whom do not want to participate in the study or those who have not been part of the the routine and mandatory training of proper surgical hand hygiene which occurs annually.
Contacts and Locations| Contact: Theresa Criscitelli, MS, RN, CNOR | 516 506 2789 | tcriscitelli@winthrop.org |
| United States, New York | |
| Winthrop University Hospital | Not yet recruiting |
| Mineola, New York, United States, 11501 | |
| Contact: Theresa Criscitelli, MS, RN, CNOR | |
| Principal Investigator: Theresa Criscitelli, MS, RN, CNOR | |
| Sub-Investigator: Jennifer Auriemma, BSN, RN | |
| Principal Investigator: | Theresa Criscitelli, MS, RN, CNOR | Winthrop University Hospital |
More Information
Publications:
| Responsible Party: | Theresa Criscitelli, Director of Perioperative Education, Winthrop University Hospital |
| ClinicalTrials.gov Identifier: | NCT01583231 History of Changes |
| Other Study ID Numbers: | 302192-1 |
| Study First Received: | February 21, 2012 |
| Last Updated: | April 19, 2012 |
| Health Authority: | United States: Institutional Review Board |
ClinicalTrials.gov processed this record on May 19, 2013